Effectiveness of one dose of oral cholera vaccine in response to an outbreak: a case-cohort study

Andrew S Azman, Lucy A Parker, John Rumunu, et al. The Lancet Global Health (2016) CC
Lancet Glob Health 2016; 4: e856–63. Open Access The article "Effectiveness of one dose of oral cholera vaccine in response to an outbreak: a case-cohort study" investigates whether a single dose of the Shanchol oral cholera vaccine can provide effective protection during an outbreak. Conducted in Juba, South Sudan, in 2015, the study involved a case-cohort approach, analyzing vaccination status and disease outcomes. Findings showed that a single dose was 80.2% effective in preventing medically attended cholera cases, increasing to 87.3% after adjustments for confounding factors. These results suggest that a single-dose strategy can be an effective emergency response, particularly in settings with limited vaccine supply and high mobility of affected populations. The study supports using a single-dose approach during outbreaks when a two-dose regimen is logistically challenging​.